Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1467462002 Individual Practitioner Male Practitioner

Dr. Douglas R Wall , DDS

Dentist • Long Beach, CA

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Wall, DDS is a registered healthcare professional specializing in Dentist in Long Beach, CA. Practice services are available at 5479 E ABBEYFIELD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5479 E Abbeyfield St
#4

Long Beach, CA 908153050

Telephone 5625971414
Fax 5624986174
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Long Beach, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
142 Specialists

Practicing in Long Beach, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 31417

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Chanel Charles

Dental Assistant

NPI 1588409379
Ingrid Mclane

Dental Assistant

NPI 1972960375

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 30, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location June 30, 2008

Registered at 5479 E ABBEYFIELD ST, #4, LONG BEACH, CA 908153050 (Tel: 5625971414)

📍
Updated Business Mailing Address June 30, 2008

Registered at 5479 E ABBEYFIELD ST, # 4, LONG BEACH, CA 908153050 (Tel: 5625971414)

👤
Provider Name / Credentials Updated June 30, 2008

Recorded as DOUGLAS WALL, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2008

Dentist (License #31417 in CA)

🟢
Initial NPI Registration & Enumeration August 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467462002
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 08, 2006
Last Update: June 30, 2008
Sole Proprietor: No

Mailing Address

5479 E Abbeyfield St, # 4

Long Beach, CA 908153050

Phone: 5625971414

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.